Millions will lose Medicaid coverage, hospitals’ uncompensated work will increase and insurers will lose big business.

In the classic Schoolhouse Rock song “I’m Just a Bill,” the bill laments the prospect of waiting with other bills, hoping to become a law. But President Donald Trump’s “Big Beautiful Bill” didn’t have to wait—it sped through Congress in recent days and landed on his desk in time for him to sign it into law by his July 4 deadline.

Trump Signs the ‘One Big Beautiful Bill’ Into Law transcript It’s the biggest bill of its type in history. We’ve never had anything like that before. Nothing like that they thought would be possible to get passed.